Even when the fever has subsided, the infection may induce long-lasting joint inflammation, which can result in persistent ankle pain for months following a chikungunya-like sickness. While normal uric acid and Anti-CCP reduce the likelihood of gout or rheumatoid arthritis, they are not completely ruled out. Your elevated ESR and CRP indicate persistent inflammation. It may take several weeks for HCQS 200 to start working, and regular usage of analgesics like Etoshine 90 should be closely watched due to potential adverse effects of the kidneys, heart, and stomach. Please keep seeing a rheumatologist since you could require additional testing, physical therapy, supportive shoes, and treatment modifications.